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儿童桃体切除术后出血的管理 - 每个人都需要观察吗?
Luke M O'Neil1, Raimundo J Garcia-Matte1, Phillip Sale2
1Department of Otolaryngology, Perth Children's Hospital, Perth, Australia.
International journal of pediatric otorhinolaryngology
|June 15, 2023
概括
患有桃体切除术后出血 (PTB) 的患者在观察期间再次出血的风险较低. 没有口腔喉血栓的人可以考虑提前出院,减少儿科患者住院时间.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
背景情况:
- 不活跃的桃体切除术后出血 (PTB) 的管理是有争议的.
- 目前的做法往往涉及由于出血风险的观察.
- 确定早期出院的低风险患者至关重要.
研究的目的:
- 审查桃体切除术后的出血入院情况.
- 在观察期间评估再出血的风险.
- 确定安全提前放出没有观察的标准.
主要方法:
- 对患有PTB的儿科患者进行了回顾性图表审查.
- 数据来自珀斯儿童医院 (2018年2月 - 2022年2月) 收集的.
- 排除原发性PTB,血,和患者>16年.
主要成果:
- 审查了826种二次PTB (sPTB) 呈现;观察了752种.
- 在观察到的患者中,有2.9%的患者复发;0.53%的患者在呈现时没有凝块.
- 呈现时有血块的患者有3.1%的再出血率.
结论:
- 二次性PTB患者在观察期间复出血的风险较低.
- 正常的口腔检查表明复出风险非常低,支持早出院.
- 口腔凝块的存在允许安全观察,并具有较低的复出风险.
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